Organization
KOCHERT PAIN INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN G. KOCHERT M.D. (PHYSICIAN)
(765) 446-5055
Entity
Organization
Contact information
Practice address
1345 UNITY PL, SUITE 225, LAFAYETTE, IN 47905-5760
(765) 446-5055
(765) 446-5057
Mailing address
1345 UNITY PL, SUITE 225, LAFAYETTE, IN 47905-5760
(765) 446-5055
(765) 446-5057
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
IN01031275A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000585032
ANTHEM PIN
IN
Enumeration date
08/18/2008
Last updated
07/20/2009
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